BLACK OAK CLINIC LLC

BROKEN BOW, OK
NPI1366954661
Entity TypeOrganization
Authorized ContactMEGAN ELIZABETH BLACK
Owner/Nurse Practitioner
580-584-3099
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2017-10-26
Last Update Date2018-08-07
Business Address
BLACK OAK CLINIC LLC
110 W 1ST ST
BROKEN BOW, OK 74728
Phone number: 580-584-3099
Mailing Address
BLACK OAK CLINIC LLC
110 W 1ST ST
BROKEN BOW, OK 74728-3902
Phone number: 405-628-8901
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